Results for 'vulnerable adults'
A summary of the available evidence regarding the maintenance of resilience in older people, examining some of the factors and experiences that make older people more susceptible to the risk of adverse outcomes and exploring strategies to help build resilience in later life. The key topics covered are: social engagement; resources, including financial resources, housing and age-friendly neighbourhoods; health and disability; cognitive and mental health; and carers. The paper makes a number of recommendations, including: adopt a holistic view of all kinds of vulnerability in later life as the main focus rather concentrating on parts of the problem or parts of the body; make better use of the research evidence to identify problems earlier and to target resources; concentrate more on combating the effects of neighbourhood deprivation; work towards providing an age-friendly environment; facilitate home adaptations, aids and a better range of housing options; and root out ageism among professionals and society in general.
East Sussex County Council
Home Works is a short-term floating housing support service which is accessible for all working-age (aged 16-64) adults who feel they needed support with independent living skills, resilience and improving their wellbeing. Rather than being limited to residents of particular housing associations Home Works supports people living in a variety of circumstances (the majority renting privately or in insecure housing) across East Sussex.
Local Area Coordination helps vulnerable people in Thurrock find support in their local communities. It forms part of Thurrock's Building Positive Futures programme, which aims to support older and vulnerable people to live well; to increase their health and wellbeing; improve housing and neighbourhoods and create stronger, more hospitable and age-friendly communities. LAC was selected as an approach because more than 20 years of evaluation of its use in Western Australia has shown it to lead to positive outcomes for individuals, build community resilience and reduce demand for formal services.
This paper focuses on the different types and configurations of formal and informal support in place, alongside telecare, to assist frail older people, and on how having telecare in place affected, and was influenced by, these arrangements. Based on detailed research with older telecare users and people involved in their care, the paper defines and contrasts three ‘ideal types’ identified as: ‘complex’; ‘family- based’; and ‘privatised support’ caring networks. It considers how telecare interacted with each type of caring network and explores differences in the relevance and applicability of each to frail older people in the AKTIVE study. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. In this paper particular reference is made to differences between older people using telecare who lived alone or with others; and between those who had memory problems or were susceptible to falls. The paper shows how telecare enhanced all three types of network, in at least some examples in the study, although no network type was dependent, or solely reliant, upon it. This highlights that telecare is not a panacea, a substitute for human care or an adequate solution in and of itself.
This paper explores responses to changes arising from bodily frailty observed among older people participating in the AKTIVE study and discussed with them during research visits. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. This paper identifies which daily activities were affected in older age and the strategies older people drew upon to cope. The paper also explores how telecare was combined with other support mechanisms to help older people maintain both practical and recreational daily activities. Throughout, there is discussion about limitations in how care support was sometimes provided, including how telecare was acquired and used by older people and/or those caring for or supporting them, and how far these problems might be overcome by more proactive implementation.
This paper focuses on the social relationships in the everyday lives of participants in the AKTIVE study and considers how telecare fits into these. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. This paper examines types of relationships and how these change, with a focus on being cared for and on the loneliness which many participants experienced. After discussing these aspects, the paper explores how telecare fitted into these relationships, assesses the extent to which social relations support or hinder telecare use, and discusses research participants’ experiences of this. The paper addresses three of the AKTIVE project’s research questions, adding to knowledge of: the characteristics of older people who use telecare and the contexts in which they do so; how telecare is used and affects those involved; and barriers to the adoption of telecare. In examining older people’s social relationships and how telecare fits into and affects these, the paper builds on sociological research on the use of technology, much of which has focused on information and communication technologies (ICTs). The paper explores new data collected through Everyday Life Analysis (ELA), a methodology using ethnographic observations and interviews with older people over a period of six to nine months. Research participants were supported to create maps of their social relations to help identify the people who supported them, who were also interviewed or observed wherever possible.
This article discusses how to successfully mainstream telecare to transform service delivery and provide more preventative and personalised care for people of all ages and abilities. Based on experiences from the city of Wakefield, a metropolitan district of West Yorkshire, England, the article explores the use of technology and support systems, such as door sensors, smoke detectors or flood sensors, to assist vulnerable people by improving and improving well-being and maintaining independence, enabling individuals to live safely and securely at home for as long as possible. Alongside the management of adults and older people, telecare has also had a positive impact on the support of people with learning disabilities. The article concludes that to successfully integrate and mainstream telecare, there needs to be adequate training and assessment for all staff involved in the implementation in order to deliver a sustainable and deliverable telecare service. Overall, the cost efficiencies were crucial when considering the future of telecare and, with significant cost savings made over a relatively short period, the potential for future investments was a significant factor for the continuing delivery of services.